Organization
BARNES ORTHOPEDIC, SPORT, AND SPINE PHYSICAL THERAPY LLC
Active
Organization
BARNES ORTHOPEDIC, SPORT, AND SPINE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STEVEN BARNES PT, MPT, OCS (OWNER/DIRECTOR)
(470) 255-9325
Entity
Organization
Contact information
Practice address
3994 HIGHWAY 42, LOCUST GROVE, GA 30248-4104
(470) 507-4607
(470) 507-4608
Mailing address
3994 HIGHWAY 42, LOCUST GROVE, GA 30248-4104
(470) 507-4607
(470) 507-4608
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT015025
GEORGIA STATE BOARD OF PT
GA
Enumeration date
01/21/2021
Last updated
03/23/2021
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